| NPI | 1932583879 |
|---|---|
| Doing Business As | DIVINE MANOR ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | CLIFFORD C AFAM Director 980-622-8530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SC RC1361) |
| Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: SC RC1361) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2020-01-03 |